Ray, Kelle Chandler
Ray, Kelle Chandler is an sole proprietor health care provider with primary practice located at 1805 Herrington Rd Building 2, Lawrenceville GA 30043-5649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ray, Kelle Chandler can be contacted via phone (770) 962-1944.Contact Information
Primary practice address
1805 Herrington Rd Building 2
Lawrenceville GA 30043-5649
Phone: (770) 962-1944
Fax: (770) 962-1886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1811 | Georgia |
Profile Details
| NPI number | 1386727048 |
|---|---|
| LBN Legal business name | Ray, Kelle Chandler |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386727048 | NPPES |
| Georgia | MEDICAID | 00615557A |
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